Regarding the difference between normal and abnormal behavior, which of the following statements is TRUE? Abnormal behavior is unusual; normal behavior is not. * The difference between normal and abnormal is often a matter of degree. Normal behavior is not "crazy," but abnormal behavior is. Abnormal behavior is usually frightening and disturbing, but normal behavior is not. Which of the following statements is TRUE? "Abnormal" behavior is almost always easy to distinguish from "normal" behavior, because normal and abnormal behavior are completely different and have nothing in common. When someone's behavior strikes you as strange or unusual, the behavior can safely be labeled as "abnormal." * The dividing line between normal and abnormal behavior is often determined by the social or cultural context in which a particular behavior occurs. Hearing voices is always a symptom of severe abnormality, regardless of whatever a person's cultural background might be. The term _____ refers to the scientific study of the origins, symptoms, and development of psychological disorders. DSM-IV * psychopathology schizophrenia comorbidity prevalence Which of the following statements about people with psychological disorders is TRUE? * People with psychological disorders are the most stigmatized group portrayed on television shows. Most people with a psychological disorder are not reluctant to discuss their mental problems with coworkers, neighbors, or other acquaintances. Research has shown that even people with mild psychological disorders are very dangerous and prone to violence. People with psychological disorders are the least stigmatized group portrayed on television shows. Research has investigated whether people with mental disorders are significantly more violent and dangerous than other groups of people. What was the basic finding of that research? People with even mild psychological disorders are more likely to be dangerous and violent than people who do not have a mental disorder. * People who have a severe mental disorder in which they are delusional or hallucinating have a slightly higher level of violent behavior than people who do not have a mental disorder. People who have a severe mental disorder in which they are delusional or hallucinating are much less likely to display violent behavior than people who do not have a mental disorder. Mental illness is the most significant risk factor predicting the likelihood that a person will behave violently. Researcher George Gerbner and his colleagues analyzed U.S. television shows. According to Gerbner's data, which of the following groups is portrayed most negatively on U.S. television? African-Americans Latino/Hispanic Americans * mentally ill people women The acronym "DSM-IV" stands for: Developmental and Secondary Mental Disorders Manual. Disorders: Simple and Multifaceted, 4th Edition. Deviations from Standard Mentality, 4th Edition. * Diagnostic and Statistical Manual of Mental Disorders, 4th Edition. Which of the following terms means the same thing as the term psychological disorder? comorbidity * mental disorder somatoform disorder cyclothymic disorder Which of the following statements about DSM-IV is FALSE? The DSM-IV describes approximately 250 specific psychological disorders. The DSM-IV provides a common language to diagnose and label mental disorders. * The DSM-IV was written by Dr. Ronald Kessler, Director of the National Institutes of Mental Health (NIMH). The DSM-IV provides the exact criteria that must be met in order for a mental health professional to diagnose a particular mental disorder. The National Comorbidity Survey (NCS) investigated: the prevalence of mental disorders among minority groups. the prevalence of mental disorders in different countries and cultures. * the mental health of American adults. how people with mental disorders were portrayed in television shows. The National Comorbidity Survey (NCS) found that: * almost one out of two adults has experienced the symptoms of a psychological disorder at some point in their life. the prevalence of mental disorders is much greater in the United States than it is in Japan and other Asian countries. the vast majority of people with a psychological disorder seek professional treatment for their symptoms. people with mental disorders are often portrayed in television shows as unpredictable, dangerous, and violent. According to the results of National Comorbidity Survey (NCS), approximately one out of _____ American adults has experienced the symptoms of a psychological disorder in the past year. * 3 10 50 500 According to the results of National Comorbidity Survey (NCS), approximately one out of _____ American adults has experienced the symptoms of a psychological disorder at some point in their lifetime. 250 50 10 * 2 According to the results of the National Comorbidity Survey (NCS), approximately _____ percent of those who had suffered from the symptoms of a mental disorder in the previous year had not sought any type of treatment for their symptoms. 10 25 50 * 80 One finding of the National Comorbidity Survey (NCS) is that: more mental hospitals need to be built. there do not appear to be any gender differences in the prevalence of mental disorders. * most of the people who had experienced the symptoms of a mental disorder in the previous year seemed to survive their symptoms without becoming completely debilitated. men were almost twice as likely as women to suffer the symptoms of major depression at some point in their lifetimes. According to the National Comorbidity Survey (NCS), women have a higher prevalence of _____, whereas men have a higher prevalence of _____. anxiety disorders; major depression major depression; anxiety disorders substance abuse; anxiety disorders * major depression; substance abuse Even though Paula's friends have told her that her concerns are exaggerated, Paula continues to be extremely preoccupied with every "defect" in her physical appearance. Which of the following psychological disorders is Paula MOST likely to have? gender identity disorder * body dysmorphic disorder borderline personality disorder antisocial personality disorder Although he has only been caught one time, Devin has repeatedly shoplifted small items that he could easily pay for or doesn't need. Which of the following psychological disorders is Devin most likely to have? pyromania * kleptomania fetishism borderline personality disorder Severely restricted eating and an intense fear of weight gain is to _____ as binge eating followed by self-induced vomiting is to _____. * anorexia nervosa; bulimia nervosa bulimia nervosa; anorexia nervosa body dysmorphic disorder; anorexia nervosa bulimia nervosa; body dysmorphic disorder Carolyn has been married five times. Each husband divorced her because he found it impossible to deal with her emotional outbursts and lack of self-control. In one instance, she attempted suicide by overdosing on tranquilizers. Which of the following psychological disorders does Carolyn most likely have? antisocial personality disorder * borderline personality disorder body dysmorphic disorder gender identity disorder When Kevin was a little boy, he insisted he was really a girl and often played with dolls with the girls in his neighborhood. When he became an adolescent, he shaved his legs and armpits. As a young adult, Kevin is in counseling in preparation for a sex-reassignment surgery. Which of the following psychological disorders does Kevin most likely have? fetishism body dysmorphic disorder * gender identity disorder hypochondriasis Janet is convinced that she has one or more serious illnesses. Because of her many physical complaints and symptoms, Janet has had multiple surgeries and diagnostic procedures. In every case, her doctors said she was perfectly healthy and that the symptoms were probably due to her imagination. Which of the following psychological disorders does Janet most likely have? fetishism body dysmorphic disorder gender identity disorder * hypochondriasis An unpleasant emotional state that involves feelings of worry, dread, apprehension, and tension, along with heightened physical arousal, is called: * anxiety. mania. dissociation. alogia. Which of the following statements about anxiety is TRUE? Anxiety is always abnormal. Anxiety is a symptom that occurs only in the anxiety disorders but not in other psychological disorders. * Anxiety can be adaptive, helpful, and beneficial when it alerts people to a realistic threat. Anxiety is an unpleasant emotional state, but it has no physical effects. In contrast to normal anxiety, pathological anxiety: * is unreasonably intense, irrational, uncontrollable, and disruptive. is focused on relationship problems rather than work or academic concerns. alerts people to realistic problems that need to be addressed or solved. is unpleasant. Which of the following examples reflects a symptom of an anxiety disorder rather than normal anxiety? The night before his final exam, Bill is unable to sleep because he is worried about doing well on the exam. * For the last several weeks, Mavis has been unable to concentrate at work because she keeps thinking that something terrible might happen to her son at school, even though she knows that he's safe. Seth is upset because his girlfriend told him she wants to start dating other men, and he is afraid that she will break up with him. Barbara has just found out that her company has been sold, and she is very worried that she might lose her job. Normal anxiety is to _____ as pathological anxiety is to _____. severe and global; mild and specific irrational and intense; reasonable and mild disruptive and uncontrollable; adaptive and irrational * reasonable and infrequent; irrational and persistent Brenda is feeling very anxious about a problem at work. Which of the following would be an example of NORMAL anxiety about a work-related problem rather than a symptom of an underlying anxiety disorder? Brenda's anxiety is so intense that she cannot eat, sleep, or think about anything else. Brenda continues to be anxious even though the problem has been resolved. Brenda's anxiety has persisted for several weeks. * Brenda is experiencing an uncomfortable level of physical arousal. Darlene is constantly nervous, tense, and apprehensive. She worries about her health, her job, her children, and her relatives. Her husband has tried to reassure her that everything is going well, but she can't seem to shake her pervasive anxiety. Darlene is probably experiencing: normal anxiety. agoraphobia. * generalized anxiety disorder. panic disorder. Identify the anxiety disorder that is characterized by constant, excessive, and unjustified anxiety about a wide range of issues and circumstances. panic disorder * generalized anxiety disorder agoraphobia posttraumatic stress disorder Because the anxiety can be attached to virtually any object or to none at all, generalized anxiety is sometimes referred to as * free-floating anxiety. dissociative anxiety. hebephrenic anxiety. phobic anxiety. Sudden, intense, and short-lived anxiety is to _____ as ongoing, persistent, and global anxiety is to _____. phobia; panic cognitive; behavioral agoraphobia; specific phobia * panic disorder; generalized anxiety disorder A(n) _____ is a brief, sudden, uncontrollable episode of acute anxiety and fear that rapidly escalates in intensity and usually includes physical symptoms like a pounding heart, rapid breathing, trembling, and feeling as if you are choking or cannot breathe. * panic attack manic episode anxiety disorder compulsion The main symptom of a disorder called _____ is frequent, unpredictable, and unexpected panic attacks. general anxiety disorder * panic disorder agoraphobia dissociative fugue Which of the following is NOT a symptom of panic disorder? Panic attacks are sudden and unpredictable. A panic attack may occur during or after a stressful period of life. * A panic attack occurs at least twice every week for a period of six months or longer. Panic attacks occur when there is no reasonable or realistic threat. For the third time in two months, Sherrilyn's husband rushed her to the hospital emergency room because Sherrilyn thought she was having a heart attack. Her symptoms included a racing, pounding heart, weakness, feeling faint, and feeling as if she were unable to breathe. Although her doctor says she is physically healthy, Sherrilyn lives in fear of another attack. Sherrilyn is most likely suffering from which psychological disorder? specific phobia * panic disorder generalized anxiety disorder obsessive-compulsive disorder According to the _____ theory of panic disorder, misinterpretation of normal signs of physical arousal, catastrophic thoughts, and a conditioned response to physical arousal are all factors that play a role in explaining panic disorder. genetic psychoanalytic evolutionary * cognitive-behavioral According to the cognitive-behavioral theory of panic disorder, people with panic disorder: are likely to believe that heart attack symptoms are simply indigestion or heartburn. * are likely to misinterpret normal physical sensations of arousal as catastrophic and life threatening. probably suffer from an underlying medical condition, such as irregular or rapid heartbeat. are faking their condition, because they are reinforced by the attention they receive during an "attack." Dr. Zink is a strong believer in the cognitive-behavioral theory of panic disorder. He explains to his patient, Dave, that the reason he is so prone to panic attacks after he walks up three flights of stairs is that: * Dave has become behaviorally conditioned to respond with fear to the sensations of physical arousal. Dave probably has a heart condition that is so rare that even the best doctors are unable to detect it. Dave is experiencing the warning signals of heart disease, and he would do well to take the elevator and avoid all forms of strenuous exercise. walking up stairs is a symbol of sexual intercourse, and Dave's panic is probably an anxiety symptom that is triggered by his unresolved Oedipus complex and unconscious sexual attraction to his mother. According to the research discussed in your textbook, what happens when panic disorder patients and control subjects who do not suffer from panic disorder are given a substance like caffeine that causes physical arousal? The control subjects, but not the panic disorder patients, experience a full-fledged panic attack. * The panic disorder patients, but not the control subjects, experience a full-fledged panic attack. Both panic disorder patients and the control subjects experience full-fledged panic attacks. Neither the panic disorder patients nor the control subjects respond with panic attacks to caffeine. Which of the following statements is TRUE? Syndromes resembling panic disorder are found only in the United States and Canada. In non-Western cultures, panic disorder involves feelings of terror but the physical symptoms of arousal are completely absent. The symptoms of panic disorder and the circumstances that trigger panic attacks are exactly the same in every culture that has been studied. * Syndromes resembling panic disorder are found in many cultures and commonly include symptoms of dizziness, heart palpitations, and terror, but are sometimes triggered by different circumstances. "Ataque de nervios" is: the medical term for what is commonly called a "nervous breakdown." * a syndrome resembling panic disorder that typically follows a severe stressor and is found in Puerto Rico and many Latin American countries. one of the key symptoms that distinguishes panic disorder from normal panic and anxiety. a specific phobia that literally translates as "fear of a nervous breakdown." A(n) _____ is an intense, irrational fear that is triggered by a particular object or situation. panic attack ataque de nervios * phobia delusion of reference Joan has always been afraid of dogs, particularly big dogs. Which of the following would indicate that Joan is suffering from specific phobia? Joan has recurrent nightmares about dogs. Joan responds physically to the presence of a dog, such as with an asthma or allergy attack. * Joan's fear is irrational and intense, and she goes to great lengths to avoid large dogs; her fear and avoidance of large dogs must disrupt her everyday functioning. Joan is in denial about her fear of dogs. Most cases of specific phobia involve particular categories of objects or situations. Which of the following is NOT a common phobia? spiders, snakes, or other animals and insects thunderstorms, heights, water, or other features of the natural environment particular situations, like flying, driving, or enclosed places * chemicals and pollutants, like cleaning supplies, cigarette smoke, or oil spills Alan always has been terrified of spiders. He refuses to enter his bedroom at night until it has been thoroughly checked for spiders. Even a picture of a spider makes him extremely uncomfortable. Most likely, Alan is suffering from a psychological disorder called: generalized anxiety disorder. posttraumatic stress disorder. * specific phobia. obsessive anxiety disorder. LouAnn has been diagnosed with a psychological disorder called agoraphobia. LouAnn is: afraid of open spaces. * afraid of having a panic attack in a public place. afraid of her home. afraid of lightning. Danielle refuses to leave her home unless she is accompanied by a family member. Danielle most likely suffers from: claustrophobia. generalized anxiety disorder. social phobia. * agoraphobia. There are many different kinds of phobias, but the phobia for which people most often seek professional help is: * agoraphobia. ataque de nervios. social phobia. taijin kyofusho. The textbook describes research involving people who were entering treatment to overcome their fear of flying. Half of the people were diagnosed with specific phobia and half with agoraphobia. The difference between the two groups was: the people with specific phobia were afraid of dying in a plane crash, and the people with agoraphobia were afraid of heights. the people with specific phobia were afraid of being confined in an enclosed place, and the people with agoraphobia were afraid of being surrounded by empty sky. * the people with specific phobia were afraid of dying in a plane crash, and the people with agoraphobia were afraid of suffering a panic attack on the plane and being unable to escape. the people with specific phobia were afraid of being confined in a small area with hundreds of strangers, and the people with agoraphobia were afraid of falling. Patrick has been diagnosed as suffering from social phobia. Patrick is likely to suffer from: simple shyness. the overwhelming urge to repeatedly wash his hands to avoid being contaminated by other people's germs. a paralyzing fear of crowds, particularly in confined areas like elevators, theaters, or small rooms. * a paralyzing fear of performing even routine behaviors in public situations or in front of other people. Nobuaki is a young Japanese man living in Tokyo. Nobuaki suffers from a syndrome very similar to social phobia called taijin kyofusho. In social situations, Nobuaki is: extremely anxious about failing or being embarrassed in public. extremely anxious about leaving his home because he is afraid that he will have a panic attack in a public place. * extremely anxious that he will offend or embarrass other people. extremely anxious that he will suddenly start shouting obscenities. The development of phobias can be partly explained by: * classical conditioning, operant conditioning, and observational learning. high brain levels of dopamine. low brain levels of dopamine. the misinterpretation of the signs of normal physical arousal. Which of the following is an example of the development of a phobia through classical conditioning? After eating a big spaghetti dinner, John gets sick and can no longer stand the smell of spaghetti. After watching graphic film coverage of the aftermath of a severe tornado that is aired repeatedly on the local TV news program, Matt develops a phobia of storms. * After being attacked by a man in an elevator, Evelyn developed a phobia of elevators and other small, confined spaces. After reading about the dangers of tick-borne diseases, Cindy is afraid to enter her backyard in the summer. Which of the following is an example of the development of a phobia through observational learning? After eating a big spaghetti dinner, John gets sick and can no longer stand the smell of spaghetti. * Matilda develops a fear of spiders after years of seeing her mother and older sister react with extreme terror whenever they see a spider. After being attacked by a man in an elevator, Evelyn developed a phobia of elevators and other small, confined spaces. After reading about the dangers of tick-borne diseases, Joe puts on long pants whenever he goes outside in the summertime. How may operant conditioning be involved in the development of phobias? The person is more likely to develop phobias toward objects or situations that represent an evolutionary threat to survival. The person learns to associate the conditioned response of fear to a previously neutral stimulus, which becomes a conditioned stimulus. The person learns to fear a particular object or situation by observing another person reacting fearfully to it. * Avoiding the feared object or situation is negatively reinforced, so the person is more likely to avoid the feared object or situation again in the future. According to the biological preparedness idea, people are more likely to develop phobias toward objects or situations that: * reflect an important threat to survival in human evolutionary history. are manufactured rather than naturally occurring. are inherently dangerous, like flying and driving. frightened them in early childhood. Which concept has been used to explain why people are more likely to develop phobias of snakes, spiders, and storms than of cars, highway intersections, or stairs? serotonin deficiency operant conditioning * biological preparedness the dopamine hypothesis Which of the following would be an example of a phobia that reflects biological preparedness? After being mugged on a subway platform, Annie is afraid to ride the subway and insists on taking buses or cabs. After being bitten by a strange dog, Eloise is phobic of dogs. Simply eating a meal with others in a restaurant evokes unbearable anxiety in Nels. * Ever since he was a child, Alan has been terrified of spiders. Although she cannot remember ever actually being harmed by a cockroach, Kate has a severe phobia of cockroaches. Which of the following ideas might be used to help explain her specific phobia of cockroaches? Kate probably was attacked by cockroaches in a previous life. Kate probably WAS a cockroach in a previous life. * Like other people, Kate is biologically prepared to develop phobias toward creatures that arouse disgust and are associated with disease, filth, and contamination. Kate suffers from norepinephrine deficiency. A long-lasting anxiety disorder that develops in response to being exposed to a severe and often life-threatening trauma is called: generalized anxiety disorder (GAD). obsessive compulsive disorder (OCD). * posttraumatic stress disorder (PTSD). dissociative identity disorder (DID). Which of the following is NOT a symptom of posttraumatic stress disorder? * multiple personalities intrusive, frequent memories of the traumatic event extreme anxiety and increased physical arousal avoiding stimuli that trigger memories of the traumatic event Jayne was in a fast-food restaurant when a man suddenly drew a gun and started shooting, killing several people. Although Jayne was not injured in the shooting spree, she has since been unable to return to work. She can't seem to stop thinking about the event. She has recurrent nightmares, is unable to sleep, and does not want to leave her home. She feels simultaneously numb and tense. It is most likely that Jayne is suffering from: generalized anxiety disorder. * posttraumatic stress disorder. agoraphobia. obsessive-compulsive disorder. The three core symptoms of _____ are: frequent, intrusive recollections of a traumatic event; emotional numbing and avoidance of particular situations; and increased physical arousal. obsessive-compulsive disorder generalized anxiety disorder * posttraumatic stress disorder social phobia After experiencing an extreme trauma, who is most likely to develop posttraumatic stress disorder (PTSD)? only people with a genetic predisposition to PTSD * people with a personal or family history of psychological disorders people who have weak characters and who are unable to face tragedy or accept reality drug abusers and alcoholics When people have experienced multiple traumas, they: are less likely to develop posttraumatic stress disorder. * are more likely to develop posttraumatic stress disorder. are likely to develop an immunity to anxiety disorders. are more likely to become violent themselves. Jamie has been diagnosed with posttraumatic stress disorder (PTSD). Along with his PTSD symptoms, he might also display the symptoms associated with: * depression, panic disorder, substance abuse, and generalized anxiety disorder. schizophrenia, dissociative identity disorder, mania, and pyromania. spirit possession, dissociative amnesia, dissociative fugue, and dissociative identity disorder. schizophrenia and depression. In an anxiety disorder called _____, the person suffers from repetitive, intrusive thoughts and/or uncontrollable urges to perform certain repetitive behaviors. generalized anxiety disorder specific phobia posttraumatic stress disorder * obsessive-compulsive disorder Jeffrey is so preoccupied by his fear of germs that he always keeps his car and apartment windows sealed tightly, and refuses to allow anyone into his apartment. He carries his own silverware which he uses when he eats away from home, and washes his hands every time he touches anything that has been touched by someone else. Jeffrey would most likely be diagnosed with: dissociative identity disorder. paranoid schizophrenia. * obsessive-compulsive disorder. cyclothymic disorder. When a person experiences repeated, uncontrollable thoughts, fears, or mental images that cause great anxiety and distress, even though they have no basis in reality, she is said to be experiencing a(n): hallucination. compulsion. * obsession. delusion of grandeur. Uncontrollable thoughts and worries are to _____ as uncontrollable behaviors are to _____. hallucinations; delusions preoccupations; addictions compulsions; obsessions * obsessions; compulsions Before leaving her home, Margaret makes sure that every electrical appliance is unplugged and checks that every window and door is securely locked. She checks everything seventeen times according to a strict ritual that she has worked out. If she misses one window, door, or appliance she must begin all over again. If she tries to skip any step of the ritual, she experiences unbearable anxiety. Margaret is probably suffering from: specific phobia. bipolar disorder. dissociative identity disorder. * obsessive-compulsive disorder. When a person is driven to perform repetitive behaviors in a particular sequence or pattern, he or she is said to be experiencing a(n): obsession. * compulsion. delusion. hallucination. In obsessive-compulsive disorder, the most common obsessions reflect unrealistic worries regarding: * contamination, doubt or uncertainty, and violent or sexual thoughts. suicidal behavior, paranoia, and delusions of grandeur. washing, checking, and hoarding. snakes, spiders, heights, and storms. In obsessive-compulsive disorder, the most common compulsions include: suicidal behavior, fighting, and stalking. * washing, checking, counting, and the need for symmetry. eating, gambling, and drug and alcohol abuse. fears of contamination and worries about health, sex, or violence. In obsessive-compulsive disorder, obsessions and compulsions frequently: oppose one another. occur in rapid sequence. are triggered by the use of drugs or alcohol. * are linked in some way. Cross-cultural research on obsessive-compulsive disorder has found that: obsessive-compulsive disorder is found only in the U.S., Canada, and Great Britain. compulsions, but not obsessions, have been reported in virtually every culture. * the same categories of obsessions and compulsions are found in many different cultures. obsessions, but not compulsions, have been reported in virtually every culture. A deficiency in the neurotransmitter called _____ seems to be associated with obsessive-compulsive disorder. * serotonin dopamine lithium norepinephrine Obsessive-compulsive disorder has been linked to dysfunctions in which areas of the brain? occipital lobes and parietal lobes * frontal lobes and caudate nucleus frontal lobes and ventricles basal ganglia and hypothalamus The DSM-IV category of _____ is characterized by serious and persistent disturbances or fluctuations in a person's emotional state that causes psychological discomfort, impairs the ability to function, or both. * mood disorders anxiety disorders dissociative disorders schizophrenia Jason has periods when he feels extremely despondent for no apparent reason. During these periods, he finds it very difficult to be productive in his college classes or at his job. Jason's symptoms are characteristics of the DSM-IV category of: anxiety disorders. dissociative disorders. * mood disorders. schizophrenia. Over the last three months, Ivana's feelings of despondency have intensified for no apparent reason. Although her friends have tried to be encouraging and supportive, Ivana says that she feels completely detached from people, worthless, and has even thought about killing herself. Ivana's symptoms would suggest that she is probably suffering from: schizophrenia. dissociative fugue. * major depression. posttraumatic stress disorder. Approximately _____ percent of those suffering from major depression attempt suicide. 1 * 10 25 40 The physical symptoms of _____ often accompany major depression. * anxiety schizophrenia body dysmorphic disorder dissociative fugue Charlie is experiencing major depression. Compared to people who are not depressed, Charlie is likely to: make more eye contact when he talks with others. * speak and move more slowly. be involved in more activities. spend more time with others. Anita is experiencing major depression. As compared to people who are not depressed, Anita is more likely to: * feel mentally sluggish and have difficulty concentrating. make decisions quickly. be optimistic. easily complete routine tasks involved in daily living. Neil and Bonnie are married. Neil is not depressed, but Bonnie is experiencing major depression. In terms of physical functioning, Bonnie is more likely to: * experience a significant weight loss or gain. be interested in sex. feel energetic. sleep soundly. Disruptions in the normal patterns of sleep are one of the main characteristics of major depression. How are normal sleep patterns disrupted? The amount of time spent in nondreaming, deeply relaxed sleep doubles or triples during major depression. * Depressed people often awaken spontaneously at 3:00 or 4:00 o'clock in the morning and cannot get back to sleep even though they are still tired. Although depressed people sleep and dream much less than normal, they claim that they feel adequately rested by their sleep. Periods of dreaming REM sleep occur in 90-minute cycles. Ever since her mother died about a month ago, Kerri has felt despondent and sad. Although outwardly Kerri behaves normally, privately she still feels very sad about her loss. Kerri's behavior following the death of her mother is: an indication of major depression. an indication of bipolar disorder. an indication of dysthymic disorder. * completely normal. Which of the following statements about major depression is FALSE? Seriously depressed people are often gripped by indecisiveness and have great difficulty making even simple decisions. People experiencing major depression become pessimistic and negative about themselves, the world, and the future. * Some negative event or stressful situation always precedes an episode of major depression. Disrupted and abnormal patterns of sleep are a very common characteristic of major depression. Carla has worked as a human resources specialist for several years, but she doesn't really like the job. Although her work performance is adequate, Carla almost always feels slightly down and sad. Carla's chronic case of "the blues" is characteristic of the psychological disorder called: * dysthymic disorder. bipolar disorder. cyclothymic disorder. major depression. Severe, debilitating depression is to _____ as chronic, low-grade depression is to _____. major depression; cyclothymic disorder dysthymic disorder; cyclothymic disorder * major depression; dysthymic disorder dysthymic disorder; bipolar disorder Which of the following statements describes double depression? The person experiences two or more episodes of major depression in the same year. Both members of a couple develop major depression at the same time. * A person experiences one or more episodes of major depression on top of his or her ongoing dysthymic disorder. A person first experiences major depression over some negative life event, then experiences major depression over the fact that he or she is depressed. Although David has had chronic, low-grade depression for years, he recently experienced a debilitating episode of major depression for which he was hospitalized. Following treatment, David returned to his previous emotional state of chronic, low-grade depression. Which of the following terms describes what David has experienced? cyclothymic disorder bipolar disorder manic depression * double depression Which of the following is often called "the common cold" of psychological disorders? obsessive-compulsive disorder schizophrenia cyclothymic disorder * major depression In any given year, approximately _____ million Americans experience the symptoms of major depression. 2 * 12 25 50 Statistically, women are _____ as men to be diagnosed with major depression. half as likely just as likely * twice as likely ten times as likely If you are female, the statistical odds that you will experience an episode of major depression at some time in your life are about: 1 out of 2. * 1 out of 4. 1 out of 8. 1 out of 20. If you are male, the statistical odds that you will experience an episode of major depression at some time in your life are about: 1 out of 2. 1 out of 4. * 1 out of 8. 1 out of 20. According to statistical profiles, you are at a higher risk to develop major depression if you are: married. over fifty years of age. male. * divorced or widowed. According to statistical profiles, people in which age bracket are most at risk to develop major depression? ten to fifteen years old twenty-four to thirty-five years old * thirty-five to forty-four years old fifty-five to sixty-four years old Which of the following statements about the prevalence and course of major depression is FALSE? When major depression recurs, the symptoms tend to increase in severity. * Most people who experience major depression seek professional help to deal with the symptoms. If left untreated, the symptoms of major depression can persist for six months or longer. More than half of all people who have had one episode of major depression will experience another episode of major depression, usually within two years. After working in Austin, Texas, for five years, Rebecca's company transferred her to an upper management position in Minneapolis, Minnesota. Since moving to Minnesota, Rebecca is bothered by strong feelings of despondency during the long, dark winter months. When spring arrives in late April or May, her mood improves and she is back to normal. Rebecca's symptoms suggest that she is experiencing: * seasonal affective disorder. bipolar disorder. dysthymic disorder. double depression. Depression that repeatedly occurs with onset of autumn and winter is to _____ as chronic, low-grade depression is to _____. * seasonal affective disorder; dysthymic disorder cyclothymic disorder; seasonal affective disorder bipolar disorder; cyclothymic disorder manic depression; double depression Bipolar disorder used to be officially called _____ and is still often referred to by that term. double depression dysthymic disorder seasonal affective disorder * manic depression According to DSM-IV, it is possible for someone to have bipolar disorder and only experience: * manic episodes. recurring episodes of major depression. recurring seasonal depression. chronic, low-grade depression. In the last three days, Doug has become progressively more energetic and euphoric. He has been sleeping no more than an hour or two per night, but he seems to have unlimited energy. Doug is inappropriately self-confident as he veers from one grandiose idea to another in his plans to become rich and famous. Doug appears to be experiencing: rapid cycling. double depression. * a manic episode. dissociative identity disorder. During a manic episode, the person's thoughts often rapidly shift from topic to topic. This characteristic is referred to as: rapid cycling. a dissociative experience. delusional thinking. * a flight of ideas. Which of the following statements about bipolar disorder is TRUE? A person does not have bipolar disorder if he or she only experiences manic episodes. Women are twice as likely as men to experience bipolar disorder. * Bipolar disorder is almost always a recurring disorder. In the general population, bipolar disorder occurs as often as major depression does. During the last year Genevieve has experienced five bouts of major depression, each followed by a brief manic episode lasting several days. Genevieve's pattern of depressive and manic episodes is referred to as: depression rebound. manic rebound. * rapid cycling. circular mania. Kirk is difficult to work with because he is extremely moody and unpredictable. Some days he is full of complaints about his job and wants nothing to do with his coworkers. At other times, Kirk is extremely upbeat and optimistic and enthusiastically suggests that the whole work group go out to lunch together. Kirk's chronic mood swings and his inconsistent behavior are characteristics of which of the following disorders? dysthymic disorder * cyclothymic disorder rapid cycling disorder dissociative identity disorder Statistically, women are _____ as men to be diagnosed with bipolar disorder. half as likely * just as likely twice as likely ten times as likely Which of the following medications is commonly used to help control the symptoms of bipolar disorder? antidepressant medications antipsychotic medications * lithium antianxiety medications Compared to a typical episode of major depression, the manic and depressive symptoms of an episode of bipolar disorder tend to: last for a much longer period of time. * last for a much shorter period of time. recur every couple of months. be more intense in women than in men. The onset of bipolar disorder is most likely to occur: during the winter months. * when the person is in his or her early twenties. very gradually over the course of several years. in females who are forty-five to fifty years old. Peter and Luke are identical twins who are juniors at the same college. Throughout their college years, Peter has been treated for two episodes of major depression. In contrast, Luke has never been treated for major depression. Based on twin studies, Luke has about a _____ percent statistical chance of also developing a mood disorder. 30 50 * 70 90 Research has shown that both major depression and bipolar disorder: * tend to run in families. are caused by a specific combination of genes on the 1st and 8th pair of chromosomes. are less common among creative writers and artists than among the general population. are due to elevated brain levels of lithium. Antidepressant medications are often used in the treatment of major depression. In general, these medications work by: increasing brain levels of lithium. decreasing brain levels of lithium. * increasing brain levels of serotonin and norepinephrine. decreasing brain levels of serotonin and norepinephrine. What do the famous writers Mark Twain, Ernest Hemingway, and Sylvia Plath share in common? They all suffered from delusions and were hospitalized for episodes of schizophrenia. They all committed suicide. They all suffered from dissociative identity disorder. * They all suffered from episodes of major depression. Research has shown that mood disorders occur more frequently among _____ than among the general population. people who have recently emigrated to this country left-handed people * creative writers and artists top corporate executives As a general rule, the use of antidepressant medications reduces or alleviates the symptoms of major depression in about _____ percent of the people taking them. 20 40 60 * 80 Research has indicated that the continued use of antidepressant medications after the symptoms of major depression have been alleviated can: cause double depression. potentially trigger an episode of untreatable schizophrenia. * prevent recurrences of major depression. significantly increase the likelihood of suicide. It has been shown that lithium is effective in the treatment of: seasonal affective disorder. generalized anxiety disorder. panic disorder and dysthymia. * mania and depression in bipolar disorder. Lithium appears to regulate the neurotransmitter: dopamine. epinephrine. * glutamate. serotonin. Owen's brother and mother have both had occurrences of major depression. Owen himself has had two episodes of major depression in the past five years. Given this background information, which of the following is one of the best predictors as to whether Owen will experience another episode of major depression in the future? excessive use of alcohol beginning an exercise program beginning a new relationship * stressful life events One of the best predictors of whether one will experience episodes of major depression is having: delusions of persecution. * been exposed to recent stressful events. episodes of dissociative fugue. schizophrenia. Chronic, low-grade depressed feelings are to _____ as moderate, recurring mood swings are to _____ disorder. major depression; dysthymic * dysthymic disorder; cyclothymic cyclothymic disorder; bipolar cyclothymic disorder; dysthymic Personality traits are: * relatively stable predispositions to behave or react in certain ways. only observed in people with schizophrenia. the precursors to dissociative disorders. characteristic of dissociative disorders. Personality traits: cannot be changed. are only found in well-adjusted people. * can be modified so that we can think, feel, and behave in more effective ways. are usually evident just prior to the onset of a dissociative disorder. Someone with a personality disorder: will become schizophrenic. has extensive memory disruptions for personal life information. experiences delusions and hallucinations. * has personality traits that are inflexible and maladaptive. Which is NOT one of the three basic clusters of personality disorders? the dramatic, emotional, or erratic cluster * the delusional, dissociative cluster the anxious, fearful cluster the odd, eccentric cluster Antisocial personality disorder is part of the _____ cluster of personality disorders. delusional, dissociative odd, eccentric * dramatic, emotional, or erratic anxious, fearful Borderline personality disorder is characterized by: rigid, preoccupation with orderliness, personal control, rules, or schedules that interfere with completing tasks. * erratic, unstable relationships, emotions, and self -image, and desperate efforts to avoid real or imagined abandonment. extreme social inhibition due to feelings of inadequacy, and hypersensitivity to criticism or disapproval. pervasive but unwarranted distrust and suspiciousness and assumptions that other people intend to deceive, exploit, or harm them. Steve is 31-years old, unmarried, and relies on his parents to take care of him. He will not move out of his parents' home because he knows that he would not be able to handle responsibilities of everyday living very well. Steve fits the description of _____ personality disorder. paranoid histrionic schizotypal * dependent Personality disorders are evident in up to _____ percent of the general population. 1 5 * 15 30 Peter has a pervasive mistrust and suspiciousness of others. These characteristics are the defining features of the _____ personality disorder. antisocial borderline * paranoid histrionic Pathological jealousy commonly characterizes the intimate relationships of the person with _____ personality disorder. dependent * paranoid schizoid avoidant Which of the personality disorders is also referred to as a psychopath? schizoid paranoid * antisocial histrionic Deceiving and manipulating others for one's own personal gain is a hallmark of which personality disorder? * antisocial dependent histrionic paranoid Henry is a 27-year-old man who has difficulty holding a job. He also neglects to pay his bills, and he rarely sends child support money to his ex-wife. Over the years, Henry has been arrested several times for drug abuse. Henry most closely resembles the behavior pattern characteristic of: * antisocial personality disorder. dissociative identity disorder. cyclothymia. disorganized schizophrenia. Which of the following personality disorders is most likely to be self-destructive and threaten to self-mutilate or commit suicide? antisocial narcissistic schizoid * borderline Disruption in attachment relationships in early childhood has been suggested to be an important cause in the development of _____ since this disorder is characterized by intense and chronic fears of abandonment. catatonic schizophrenia phobic anxiety bipolar disorder * borderline personality disorder In a dissociative experience, what normally integrated aspects of personality are divided or separated? memory, consciousness, and emotion emotion, motivation, and development * awareness, memory, and personal identity awareness, motivation, and mood Spirit possession and glossolalia are examples of: * dissociative possession states. symptoms of schizophrenia. mood disorders. specific phobia objects. In some cultures, dramatic dissociative experiences like trance and possession states are highly valued. According to DSM-IV, such dissociative experiences are NOT considered abnormal if: * they occur within the context of accepted religious practices, are voluntary, and don't cause distress. they are temporary and short-lived, lasting no more than ten minutes. they don't involve the loss of a sense of personal identity. the person is able to later remember everything that transpired during the dissociative experience. Which of the following is an example of a dissociative experience that is pathological or abnormal? waking up from a nap and momentarily thinking that a dream event really happened becoming so absorbed in the book you're reading that you don't hear the telephone ring automatically taking your usual exit off the highway because you are so preoccupied by your thoughts that you forget that you were planning to go to a different destination * being unable to remember your own name or other important details about your life A(n) _____ disorder is diagnosed when disruptions in personal identity, awareness, or memory are extreme, frequent, and seriously impair the ability to function in everyday life. anxiety mood * dissociative delusional Miguel's wife brought him to the emergency room because he cannot remember important personal information such as his name, the names of his family members, where he works, or where he lives. His memory problem is not due to an injury, an illness, drugs, or other physical or medical conditions. It is most likely that Miguel will be diagnosed as having: schizophrenia. bipolar disorder. obsessive-compulsive disorder. * dissociative amnesia. In most cases, the disorder called dissociative amnesia occurs as a response to: * stress, trauma, or an extremely distressing situation. excess dopamine activity in the brain. an overdose of drugs or alcohol. a concussion or other injury to the brain. Jack was found sleeping on a park bench. When awakened by a police officer, he could not remember who he was or where he lived. Later, investigators discovered that Jack's wife had left him the night before after a violent fight in which he tried to attack her. Jack insists that he has no memories of the dispute with his wife or even of having been married. Jack is probably suffering from: dissociative identity disorder. dissociative possession state. * dissociative amnesia. hebephrenic schizophrenia. A disorder called _____ is characterized by symptoms of extensive amnesia, wandering or traveling, and confusion about one's personal identity. dissociative identity disorder * dissociative fugue dissociative amnesia schizophrenia Dennis, a New York City investment broker, quit his job in a fit of rage after being accused of embezzling thousands of dollars of his clients' money. Four months later, the police discovered Dennis driving a cab in Los Angeles. Dennis claimed that his name was actually Michael Hart, that he had always been a cab driver in Los Angeles, and that he had no knowledge of Dennis. Even after he was positively identified as Dennis, "Michael Hart" insisted that he was someone else. Assuming that he was not faking his condition to escape arrest, Dennis was probably suffering from: paranoid schizophrenia. * dissociative fugue. bipolar disorder. delusions of grandeur. The most controversial dissociative disorder involves extensive memory disruptions along with the presence of two or more distinct identities. This disorder is called: multiple possession state. dissociative fugue. "split personality," or schizophrenia. * dissociative identity disorder. In the disorder called dissociative identity disorder, the "alters," or distinct personalities: * can be of different ages and gender. are typically all the same age. are typically all the same gender. may all be present simultaneously. In dissociative identity disorder, it is generally believed that the "alters": * represent different aspects of the individual's personality that cannot be integrated into the primary personality. represent the individual's ego, superego, and id. are the source of the voices commonly heard in schizophrenia. are the result of the hallucinations common in cases of "split personality." Priscilla's husband insisted that she go to a mental health clinic when she was unable to explain or remember her frequent absences from home, phone calls from people that she claimed she had never heard of, and check stubs from checks that she couldn't remember writing. At the clinic, Priscilla admitted there were long stretches of her life that were completely blank to her. Suddenly, Priscilla's voice, facial expression, and demeanor changed, and she said to the clinic psychologist, "Don't pay any attention to that old Priscilla. She's just a bore. My name is Patty, and I'm a lot more fun to talk to." The clinic psychologist suspects that Priscilla may be suffering from: schizophrenia. amnesia. * dissociative identity disorder. posttraumatic stress disorder. Present in virtually all cases of dissociative identity disorder are symptoms of: hallucinations and delusions. substance abuse and anorexia. obsessions and compulsions. * amnesia, memory lapses, and memory problems. Some researchers have claimed to discover distinct physiological differences among alters in dissociative identity disorder patients, such as different glasses prescriptions, different allergies, and so forth. What does your text conclude about the findings of this research? These claims have no basis in fact. The physiological differences that have been discovered are due to acting and faking on the part of dissociative identity disorder patients. Such differences are more commonly found in South American dissociative identity patients than in North American dissociative identity patients. * Such physiological differences have not yet been convincingly demonstrated under controlled scientific conditions. One important reason why some psychologists are skeptical of dissociative identity disorder is that: * the number of reported cases has increased dramatically in recent decades. several famous dissociative identity disorder patients have publicly admitted that they were faking their symptoms in order to gain fame and make money. dissociative identity disorder is easy to produce through hypnotic suggestion and can also be easily cured by hypnosis. the symptoms of dissociative identity disorder are also present in schizophrenia, a much more likely diagnosis. Some recent cross-cultural research has shown that the incidence of dissociative identity disorder in countries outside the United States: is almost zero. has decreased over the last two decades, just as the number of cases have increased in the United States. is much higher than in the United States or Canada. * has increased as formal screening programs have been established. Psychologists who support the diagnostic criteria of dissociative identity disorder argue that the sharp increase in reported cases in recent decades is probably due to: the fact that most insurance plans now cover treatment for dissociative identity disorder. the greater prevalence of drug use among grade-school children, which may produce dissociative identity disorder in adulthood. * greater clinical awareness of the disorder and of its symptoms and increased screening for dissociative symptoms. greater coverage of sensational dissociative identity disorder patients in movies and television shows, making it easier for disturbed people to mimic the symptoms. One explanation for dissociative identity disorder is that it results from: * extreme trauma in childhood; the alters are created to embody the dissociated memories and emotions that are too painful for the primary personality to acknowledge. a very repressed childhood; alters are created to allow the primary personality to enjoy activities that he or she would otherwise avoid. an extreme case of bipolar disorder, in which mood swings are so severe that "alternate personalities" seem to exist. the split personality present in chronic schizophrenia, which involves unpredictable behavior and extreme shifts in emotion. According to one explanation for dissociative identity disorder, the disorder represents a way to: avoid the stigma that is often attached to mental illness. deny that one has a psychological problem in need of treatment. cope with a marital partner's alcoholism or substance abuse. * cope with extreme abuse or trauma in childhood. Why is the dissociative coping explanation of dissociative identity disorder difficult to test? Dissociative identity disorder is so rarely diagnosed that experimental subjects cannot be located. * Dissociative identity disorder is usually diagnosed in adulthood, and it is often impossible to verify whether the reports of childhood trauma are real or imagined. People with dissociative identity disorder typically also suffer from extreme paranoia, so they are usually unwilling to participate in psychological research. People with dissociative identity disorder rarely answer the same questions the same way twice, so it is impossible to draw conclusions from formal interviews or psychological tests. The Prologue to Chapter 14 described a young woman, hospitalized on a psychiatric ward, who was screaming for help because she saw a fire. Which of the following disorders did the young woman most likely have? * schizophrenia major depression dissociative identity disorder generalized anxiety disorder The psychological disorder that is characterized by impaired functioning because of severely distorted beliefs, perceptions, and thought processes is called: major depression. * schizophrenia. dissociative amnesia. cyclothymic disorder. Philip has been hospitalized for an episode of schizophrenia. He believes that secret agents are bombing his brain with gamma rays, and he sometimes sees grotesque creatures climbing on the wall of his hospital room. Philip's symptoms are referred to as _____ symptoms of schizophrenia. caustic negative * positive primal Susan was treated for an episode of schizophrenia before she was married. In recent weeks, her husband has noticed that Susan's speech and facial expressions have become flat and expressionless and that she seems to have little motivation. Assuming that Susan is on the verge of another episode of schizophrenia, these symptoms are referred to as _____ symptoms of schizophrenia. secondary * negative positive remote Which of the following is a positive symptom of schizophrenia? greatly reduced motivation reduced emotional expressiveness reduced speech * delusions Which of the following is a negative symptom of schizophrenia? * reduced emotional expressiveness and speech severely disorganized thought processes and behavior delusions hallucinations _____ is/are to positive symptoms of schizophrenia as _____ is/are to negative symptoms of schizophrenia. Reduced emotional expressiveness; hallucinations * Hallucinations; reduced speech Reduced motivation; delusions Delusions; hallucinations A falsely held belief that persists in spite of evidence contrary to the belief is formally called a: hallucination. negative symptom of schizophrenia. * delusion. hypnagogic hallucination. Keith was surprised when his boss invited a coworker to lunch but did not invite Keith. At first, Keith was convinced that he had not been invited because they wanted to discuss Keith's job performance at lunch. Later, the coworker told Keith that the boss had taken her to lunch to tell her that she was being laid off. Privately, Keith was relieved because it now made perfect sense to him why he had not been invited to lunch. In this scenario, Keith appears to be: suffering from delusions of grandeur. suffering from delusions of persecution. suffering from auditory hallucinations. * having normal thought processes. Paul's girlfriend is very concerned about him because his thinking seems to have become increasingly confused. Today, Paul said that he was really the reincarnation of John Lennon, the former member of the Beatles who was shot and killed in 1980. Paul also told her that he had special musical powers and that he needed to start his own rock group so that he could deliver his message to the masses. Paul seems to be experiencing: auditory hallucinations. delusions of persecution. negative symptoms of schizophrenia. * delusions of grandeur. After not seeing Rita for almost a week, a neighbor went to check on her. He discovered that Rita had barricaded all the doors and windows to her apartment because she believed that "special forces" were going to attack her and her three cats. Rita appears to be suffering from: visual hallucinations. * delusions of persecution. delusions of reference. hypnagogic hallucinations. Despite attempts by his friends who have tried to reason with him, Simon has become convinced that the CNN news announcer is talking in a special code about him and his thoughts. Simon appears to be experiencing: hypnagogic hallucinations. delusions of persecution. * delusions of reference. waxy flexibility. False or distorted perceptions that seem vividly real are called: secondary symptoms of schizophrenia. alogia. delusions. * hallucinations. The most common type of hallucination that occurs in schizophrenia is: visual. smell or taste. touch or tactile. * auditory. Although she was very secretive when she was first admitted to the psychiatric hospital, Tiffany eventually told the doctor that the devil's voice was constantly telling her to hurt certain people and herself. Tiffany is experiencing: * the most common type of hallucination associated with schizophrenia. tactile hallucinations. a very rare schizophrenic symptom called avolition. the disorganized type of schizophrenia. Which of the following statements about the content of delusions and hallucinations is TRUE? It is highly consistent from culture to culture. It is fundamentally different for men and women. * It is influenced by a person's cultural beliefs and by societal and technological changes. It has remained unchanged for centuries. Larry thinks that his roommate Bob has been acting strangely lately. When Larry asks Bob how he feels, Bob says, "Everything looks different these days. I keep hearing this whispering, and the stuff in this room changes shape all the time. It's like I don't really know if I'm bigger or smaller than that desk over there. Yesterday I thought the chair had become completely flat, like a picture of a chair instead of a real chair. Do things look normal to you?" The sensory distortions that Bob seems to be experiencing are most symptomatic of which psychological disorder? obsessive-compulsive disorder posttraumatic stress disorder * schizophrenia cyclothymic disorder Claire is experiencing some very odd symptoms. If someone asks her a question, her response makes no sense, as her sentences seem to just be strings of loosely connected ideas. She cannot concentrate on anything, and her thinking seems completely illogical and disorganized. She veers from one unrelated topic or activity to another for no apparent reason. Taken together, Claire's symptoms are most likely due to: bipolar disorder. * schizophrenia. dissociative identity disorder. agoraphobia. Disorganized thinking, sensory distortions, and disorganized speech are all symptoms of which psychological disorder? * schizophrenia agoraphobia dissociative identity disorder dissociative fugue A relatively common symptom in schizophrenia is that the person responds with greatly reduced emotional expressiveness, including facial expressions. This particular symptom is referred to as: alogia. waxy flexibility. * flat affect. poverty of speech. Every day when Wayne's parents come to visit him on the psychiatric ward, Wayne is often still dressed in his pajamas and sitting in a corner of the common area. Although he answers their questions, he seems apathetic to their presence and anything else occurring on the ward. As a symptom of his schizophrenia, Wayne's complete lack of goal-directed behavior is termed: * avolition. waxy flexibility. hebephrenia. catatonia. A relatively common symptom in schizophrenia is greatly reduced production of speech-the person's verbal responses are limited to very brief, empty comments. This particular symptom is termed: catatonia. echolalia. hebephrenia. * alogia. Howard is hearing voices that he believes are coming from the Central Intelligence Agency. He is extremely suspicious and distrustful of his neighbors, whom he suspects are actually agents of a foreign country. Howard appears to be experiencing the _____ type of schizophrenia. * paranoid catatonic disorganized undifferentiated Ruth was hospitalized after a concerned coworker went to her house to find out why Ruth had unexpectedly failed to show up at work. When the coworker peered through a window, she saw Ruth standing motionless in the middle of her living room, much like a statue. Ruth appears to be experiencing the _____ type of schizophrenia. paranoid undifferentiated * catatonic disorganized The _____ type of schizophrenia is characterized by bizarre postures or grimacing, extremely agitated behavior, complete immobility, or echoing the words spoken by another person. * catatonic paranoid undifferentiated disorganized Waxy flexibility is a characteristic that is associated with the _____ type of schizophrenia. undifferentiated paranoid * catatonic disorganized The most common type of schizophrenia is the _____ type. undifferentiated * paranoid catatonic disorganized As long as the psychiatric nurse remains very quiet, he can move Robin's arms and legs and gently shift her from standing to sitting. Once she has been moved, Robin remains in the new pose until someone moves her again. This particular symptom of schizophrenia is called _____ and is very _____. * waxy flexibility; rare alogia; common waxy flexibility; common flat affect; rare Hebephrenic schizophrenia is the previously used term that is still sometimes used to describe what is now called: multiple personality disorder. the catatonic type of schizophrenia. the paranoid type of schizophrenia. * the disorganized type of schizophrenia. Martin is a clinical psychologist who works for a welfare agency. Twice a week, Martin makes his rounds around the city. Under one of the city bridges lives Kirby, whose symptoms include flat affect, disorganized behavior, and giggling for no apparent reason. Kirby's symptoms reflect the _____ type of schizophrenia. paranoid undifferentiated catatonic * disorganized Norman displays many schizophrenic symptoms, including random auditory hallucinations that don't follow any particular theme, disorganized thoughts and behavior, frequent inappropriate laughing mixed with aggressive shouting, and echoing words spoken by others. Norman would probably be diagnosed as suffering from the _____ type of schizophrenia. paranoid * undifferentiated catatonic disorganized Every year in the United States, approximately _____ Americans are treated for schizophrenia. * 1 million 5 million 10 million 25 million The onset of schizophrenia typically occurs: very rapidly and without any kind of warning signs. during late childhood. * during young adulthood. during the fall and winter months. Based on research tracking the course of schizophrenia, roughly _____ of those who experience an episode of schizophrenia will recover completely and never experience another episode. one-tenth * one-quarter one-half two-thirds Alice and Jane are identical twins. Alice has been diagnosed with the paranoid type of schizophrenia. According to twin studies, Jane has roughly a _____ percent risk of developing schizophrenia at some point in her life. 25 * 50 75 99 Based upon their genetic relationship to a person with schizophrenia, which of the following people has the greatest risk of developing schizophrenia? Jason, whose biological sister has schizophrenia Sara, whose twin brother has schizophrenia Rick, whose biological father has schizophrenia * Anne, whose biological mother and biological father have schizophrenia According to the text discussion, which of the following statements about the role of genetics in schizophrenia is FALSE? Schizophrenia tends to run in certain families. The more closely related a person is to someone who has schizophrenia, the greater the risk that he or she will eventually develop schizophrenia. * The genes and chromosomes involved in schizophrenia have been identified, but researchers remain uncertain about how these genes trigger the onset of schizophrenia. If either of the biological parents of an adopted individual had schizophrenia, the adopted individual is at greater risk to develop schizophrenia. Antipsychotic medications such as Thorazine or Haldol help reduce symptoms of schizophrenia by: decreasing brain levels of serotonin. decreasing brain levels of norepinephrine. increasing serotonin activity in the brain. * decreasing dopamine activity in the brain. The dopamine hypothesis is the theory that schizophrenia is due to: brain abnormalities in the frontal lobe. * excess dopamine activity in the brain. reduced dopamine activity in the brain. childhood infection by a common cold virus of the dopamine strain. Use of cocaine or amphetamines causes: * increased dopamine activity in the brain, which can produce schizophrenia-like symptoms. decreased dopamine activity in the brain, which can produce schizophrenia-like symptoms. increased dopamine activity in the brain, which often reduces the symptoms of schizophrenia. increased susceptibility to the dopamine virus. According to the textbook discussion, not all the evidence supports the dopamine hypothesis as an explanation for schizophrenia. Which of the following findings seems to contradict the dopamine hypothesis? Antipsychotic drugs, such as Thorazine, act by reducing or blocking dopamine activity in the brain. The use of amphetamines increases dopamine activity in the brain. The use of cocaine increases dopamine activity in the brain. * Some individuals who have schizophrenia do not experience a reduction of symptoms in response to taking antipsychotic medications that decrease dopamine activity in the brain. Researchers have found brain abnormalities in about _____ of the people who have schizophrenia. one-tenth one-quarter * one-half nine-tenths The most consistent brain abnormality that researchers have found in people with schizophrenia is enlargement of the: frontal lobe. left temporal lobe. * ventricles. brain stem. The viral infection theory of schizophrenia suggests that: adolescents or young adults are exposed to an unknown virus that attacks the outer covering of the brain. schizophrenia is caused by the same strain of virus that causes hepatitis. * exposure to an influenza virus during prenatal development or early infancy leaves the individual more vulnerable to develop schizophrenia later in life. schizophrenia is caused by a virus that is transmitted by ticks and rodents. Which of the following is cited as evidence supporting the viral infection theory of schizophrenia? The onset of schizophrenia almost always involves inflammation of the outer covering of the brain. Approximately two-thirds of the people with schizophrenia have been treated for hepatitis. * Schizophrenia occurs more often in people who were born during the winter and spring months, when influenza and upper respiratory infections are most common. Schizophrenia is more common among people who live in wooded areas, which increases exposure to ticks and rodents. Which of the following statements about the role of psychological factors in the onset of schizophrenia is accurate? There is a strong correlation between guilt-producing parental styles and offspring who eventually develop schizophrenia. There is a strong correlation between being raised in a single-parent home and eventually developing schizophrenia. Disturbed family communication styles have consistently emerged as the psychological factor most strongly correlated with the eventual development of schizophrenia. * No single psychological factor has consistently emerged as causing schizophrenia. In the Finnish Adoptive Family Study of Schizophrenia, researchers are following adopted individuals whose biological mothers had schizophrenia. They are also following a control group of adopted individuals whose biological mothers did not have schizophrenia. What has been the main finding of the study thus far? The adopted child's biological background had no effect on the rate of development of symptoms of a serious mental disorder. * If raised in a psychologically healthy family environment, children with a genetic background of schizophrenia were no more likely to develop schizophrenia than were the children in the control group. The children in the control group were immune to the effects of being raised in a psychologically disturbed adoptive family environment. Even if raised in a psychologically healthy adoptive family, approximately 60 percent of the adopted children with a genetic predisposition for schizophrenia developed symptoms of a serious mental disorder. The Finnish Adoptive Family Study of Schizophrenia has provided strong evidence that: supports the viral infection theory of schizophrenia. * supports the beneficial effects of a psychologically healthy family environment. refutes the notion that some people inherit a genetic vulnerability to develop schizophrenia. shows that the family environment has no effect on the development of schizophrenia. Every year in the United States, it is estimated that about _____ people attempt suicide and about _____ people actually commit suicide. 30,000; 3,000 * 300,000; 30,000 3,000,000; 300,000 30,000,000; 3,000,000 Which of the following statements about patterns of suicide is FALSE? Women outnumber men in the number of suicide attempts. Men outnumber women in the number of suicide deaths. * The highest rate of suicide occurs in the adolescent age group. Suicidal deaths are rare among children in the five-to-fourteen age group. Compared to the thought processes of the average person, the suicidal person: has more flexible thought processes. * has thought processes that have become rigid and constricted. is delusional and has other schizophrenia-like symptoms. is more adept at considering a range of possible solutions. Yvette knew that Vicky had been feeling very down lately but she was stunned when Vicky told her that she was planning to kill herself. According to your textbook, which of the following would be the most helpful way for Yvette to respond to Vicky? "Pull yourself together!" "Things always look better the next day!" "Things may seem dreary right now but remember, every cloud has a silver lining." * "Tell me what's going on and why you feel this way." Which of the following is NOT one of the suggested guidelines for helping to prevent someone from taking his or her own life? Identify and discuss potential solutions to the person's problems. Ask the person to delay his or her decision to commit suicide. * Minimize the person's suicidal intentions so that he or she is less likely to dwell on suicidal thoughts. Take the time to listen patiently and without judgment about whatever is causing the person so much psychological pain. The difference between "normal" behavior and "abnormal" behavior is sometimes determined by the degree, intensity, or duration of the particular behavior. * True False The behaviors that are considered to be "abnormal" can vary from one culture to another. * True False People who act in an unusual or unconventional way almost always have some type of psychological disorder. True * False The term psychopathology refers to the study of people who have been judged to be criminally insane. True * False Because the general public has become much more sophisticated in its thinking about psychological issues, people today are not reluctant to admit that they are being treated for a psychological disorder. True * False Of all the groups portrayed on television, people with psychological disorders are the most stigmatized. * True False People with psychological disorders are about four times as likely to commit a violent crime as the average person. True * False The terms mental disorder and psychological disorder mean the same thing and are interchangeable. * True False A "psychological disorder" or "mental disorder" is defined as a pattern of unusual or unconventional behavior that is a deviation from the typical social norms or customs. True * False The acronym "DSM-IV" stands for "dissociative and somatic mental disorders." True * False Approximately 1,000 mental health professionals participated in the development of DSM-IV. * True False The primary focus of the National Comorbidity Study (NCS) was to identify who commits suicide and why. True * False According to the findings of the National Comorbidity Study (NCS), about one in twenty adults have experienced the symptoms of a psychological disorder at some point in their lifetime. True * False According to the findings of the National Comorbidity Study (NCS), the vast majority of people who experience the symptoms of a psychological disorder seek professional help to deal with their symptoms. True * False According to the findings of the National Comorbidity Study (NCS), roughly one out of every three people have experienced the symptoms of a psychological disorder during the previous year. * True False The National Comorbidity Study (NCS) found no gender differences in the prevalence of any of the psychological disorders. True * False Somatoform disorders involve persistent and recurring complaints of bodily symptoms that have no physical or medical basis. * True False Kleptomania and pyromania are two examples of the diagnostic category of personality disorders. True * False Although Kendra often feels ashamed about it, she sometimes will frantically consume cookies, cake, and other sweets to the point that she is painfully full, then induce vomiting. Kendra has the symptoms of bulimia nervosa. * True False Drew can only achieve sexual arousal by smelling his wife's lingerie. Drew's symptoms are characteristics of someone with gender identity disorder. True * False Feelings of anxiety are always abnormal and indicate the existence of a serious psychological disorder. True * False Compared to normal feelings of anxiety, pathological anxiety is irrational, uncontrollable, and disrupts everyday functioning. * True False Another term for generalized anxiety disorder is free-floating anxiety. * True False People with generalized anxiety disorder experience high levels of anxiety only when they are in the particular situation that triggers their anxiety. True * False People with panic disorder tend to be unusually sensitive to the signs of physical arousal. * True False Panic disorder patients can always identify the stressful event or negative life experience that preceded their first panic attack. True * False Panic disorder is unusual in that it is a psychological disorder that occurs only in the United States. True * False Mild phobias are extremely common among the general population. * True False More than four times as many men as women are diagnosed with specific phobia. True * False People with agoraphobia experience an incapacitating fear of open spaces, such as parking lots or fields. True * False People with social phobia experience tremendous anxiety in social situations because they have an irrational fear of being embarrassed, judged, or failing in public. * True False Evidence suggests that people are biologically prepared to develop phobias of certain animals and situations more easily than others. * True False Posttraumatic stress disorder (PTSD) only occurs in response to extreme traumas associated with military combat and war. True * False One of the key symptoms of posttraumatic stress disorder (PTSD) is that the person experiences unwanted and intrusive thoughts about the traumatic event. * True False An obsession is a repetitive behavior that a person feels driven to perform. True * False Crystal is extremely anxious about germs on public door handles, railings, and elevator buttons. Along with constantly thinking about germs, Crystal feels compelled to repeatedly wash her hands to the point that her skin is cracked and raw. Crystal probably has obsessive-compulsive disorder. * True False Specific phobia involves intense anxiety about a specific object whereas posttraumatic stress syndrome involves intense anxiety triggered by memories of a traumatic event. * True False Persistent, recurring thoughts are to compulsions as persistent urges to perform certain actions are to obsessions. True * False Along with overwhelming feelings of sadness and hopelessness, the person experiencing major depression often has problems concentrating and completing routine tasks. * True False One of the most common symptoms of major depression is disrupted sleep, usually in the form of spontaneously awakening in the early morning hours and being unable to go back to sleep. * True False Dysthymic disorder is characterized by many of the symptoms of major depression, but the symptoms are less intense. * True False Most people usually have one episode of dysthymic disorder and then completely recover. True * False If a person experiences two or more episodes of major depression in less than a year, it is called double depression. True * False Men are twice as likely as women to be diagnosed with major depression but are less likely than women to seek treatment for the condition. True * False Senior adults and the elderly are the age groups most at risk to develop major depression. True * False A small percentage of people with bipolar disorder experience only manic episodes. * True False A person with cyclothymic disorder experiences moderate and frequent mood swings for two years or longer that are not severe enough to qualify as bipolar disorder or major depression. * True False Women are four times as likely as men to be diagnosed with bipolar disorder. True * False Bipolar disorder is often treated with a medication called lithium. * True False Antidepressant medications help reduce the symptoms of major depression by decreasing brain levels of the neurotransmitters serotonin and norepinephrine. True * False Major depression is often triggered by traumatic and stressful events. * True False Personality traits are generally consistent over time and across situations. * True False Someone with a personality disorder has personality traits that are flexible but not adaptive in personal and social situations. True * False Borderline personality disorder is part of the dramatic, emotional, erratic cluster of personality disorders. * True False Personality disorders are evident in up to 35 percent of the general population. True * False Justin avoids getting too close with anyone for he fears that people will use information against him. He also views playful teasing as deliberate insult. Justin is displaying symptoms characteristic of paranoid personality disorder. * True False A psychopath is a person who suffers from paranoid personality disorder. True * False Deceiving and manipulating others for one's own personal gain is a hallmark of the individual with antisocial personality disorder. * True False Borderline personality disorder is characterized by chronic instability in emotions, self-image, and relationships. * True False Borderline personality disorder is largely a genetic disorder that is inherited from one's parents. True * False Even mild dissociative experiences are highly unusual and are nearly always an indication that a serious psychological disorder is present. True * False In most cases, dissociative amnesia is a response to stress, trauma, or an extremely distressing situation. * True False When his family finally found him, Howard was living in West Yellowstone, Montana, under the name of Elliot North and working as a short order cook. Howard claimed to have no memory of his previous life as a Dallas psychology professor. Howard appears to have symptoms that characterize dissociative fugue. * True False Formerly called multiple personality disorder, dissociative identity disorder is characterized by having two or more distinct, alternate personalities, each with its own name, personal history, and self-image. * True False Although the number of cases of dissociative identity disorder has increased in the United States in recent years, the disorder is virtually nonexistent in other countries. True * False Positive symptoms of schizophrenia include greatly reduced motivation, emotional expressiveness, or speech. True * False Molly was sent home from work when she started screaming that everyone in the meeting had been talking about her behind her back. Molly appears to be suffering from delusions of reference. * True False Visual hallucinations are the most common type of hallucination experienced during a schizophrenic episode. True * False The basic theme of delusions of persecution is that the person views himself as extremely powerful, important, or wealthy. True * False Regardless of the culture, schizophrenia is usually characterized by the experience of delusions and hallucinations. What varies from culture to culture is the content of the delusions and hallucinations. * True False A symptom commonly seen in schizophrenia is called flat affect, which means that the person responds in an emotionally "flat" way that is lacking in normal facial and verbal expressiveness. * True False Delusions and/or hallucinations are most characteristic of paranoid schizophrenia. * True False Highly disturbed movements or actions are the characteristic symptoms of disorganized schizophrenia. True * False "Waxy flexibility" is a rare schizophrenic symptom in which the person's posture can be molded into a particular position that the person will hold for an indefinite period of time. * True False The disorganized type of schizophrenia, also called hebephrenic schizophrenia, is the most common type of schizophrenia. True * False About two-thirds of the people who have an episode of schizophrenia will recover completely and never experience another episode. True * False Family studies have consistently shown that schizophrenia tends to cluster in certain families and are one line of evidence providing support for the idea that genetic factors are involved in schizophrenia. * True False The basic idea behind the dopamine hypothesis is that schizophrenia is caused by decreased brain levels or brain activity of the neurotransmitter dopamine. True * False The viral infection theory of schizophrenia suggests that schizophrenia is caused by the same virus that produces mononucleosis in adolescents and young adults. True * False The Finnish Adoptive Family Study of Schizophrenia has provided compelling evidence that the family environment has virtually no impact on whether a person will develop the symptoms of a serious psychological disorder. True * False Although women outnumber men in suicide attempts, men outnumber women in suicide deaths. * True False The highest rate of suicide occurs in the adolescent age group. True * False When talking to a friend who has expressed suicidal intentions, it is important not to minimize the person's feelings but instead to help her consider alternative solutions to her problems. * True False